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ACOT7 p.Val128=

c.384G>A · rs553874430 · VCV3048989

Benign No assertion criteria
Classification
Benign
ClinVar
Review
No assertion criteria ☆☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
low-frequency (popmax 1.89%, sas)
Conditions
1
ACOT7-related disorder

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation/SpliceAI carries the signal.
Splicing
SpliceAIΔ0.57donor gain · deltas
Constraint at this position
ConservationphyloP -0.64GERP -4.9, phastCons 0.002
Overall
CADD15.86PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 1.89% South Asian · 1,724/91,080 alleles
Filtering AF 1.82% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.79%
Overall 0.113% 1,821/1,613,738 alleles · low-frequency
Ancestry group Frequency 1 in
South Asiangrpmax 1.89% 53
Remaining individualsnot grpmax-eligible 0.134% 744
Middle Eastern 0.0502% 1,993
African / African-American 0.00266% 37,529
East Asian 0.00223% 44,884
European (non-Finnish) 0.000593% 168,578

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene
ACOT7
Protein
p.Val128=
Coding
c.384G>A
MANE Select
NM_007274
dbSNP
rs553874430
Type
single nucleotide variant
Location
chr1:6339467 (GRCh38)
Gene constraint
LOEUF 0.468 · pLI 0.99 (gnomAD)
Structure
AlphaFold pLDDT 85.06 · 1 PDB
Residue 128
the hotdog acot-type 1 domain
Full ACOT7 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

ACOT7-related disorder

Similar variants

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/acot7-p-val128 (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown